CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Gardens Nursing and Rehab Center
View the most recent health deficiencies and inspection results for Gardens Nursing and Rehab Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Gardens Nursing and Rehab Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2026-03-26 | 2026-05-14 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2026-03-26 | 2026-05-14 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2026-03-26 | 2026-05-14 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2026-03-26 | 2026-05-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-03-26 | 2026-05-14 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2026-03-26 | 2026-05-14 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2026-03-26 | 2026-05-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-03-26 | 2026-05-14 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2026-03-26 | 2026-05-14 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2026-03-26 | 2026-05-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-03-26 | 2026-05-14 | N |
| Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | Health | 2025-06-27 | 2025-07-31 | Y |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2025-06-27 | 2025-07-31 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-06-27 | 2025-07-31 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-06-27 | 2025-07-31 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-03-27 | 2025-05-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-03-27 | 2025-05-10 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2025-03-27 | 2025-05-10 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-08-30 | 2025-01-15 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2024-08-30 | 2025-01-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-08-30 | 2025-01-15 | N |
| Meet other general requirements. | Fire Safety | 2024-08-30 | 2024-10-31 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-08-30 | 2024-10-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-30 | 2024-10-31 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-08-30 | 2024-10-31 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-08-30 | 2024-10-31 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-08-30 | 2024-10-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-08-30 | 2024-10-28 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2024-08-30 | 2024-10-28 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-08-30 | 2024-10-28 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2024-08-30 | 2024-10-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-30 | 2024-10-28 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-08-30 | 2024-10-28 | N |
| Dispose of garbage and refuse properly. | Health | 2024-08-30 | 2024-10-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-30 | 2024-10-28 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2024-08-30 | 2024-10-28 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2024-08-30 | 2024-10-28 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-08-30 | 2024-10-28 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-08-30 | 2024-10-28 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2024-08-30 | 2024-10-28 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-08-30 | 2024-10-28 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2024-08-30 | 2024-10-28 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-08-30 | 2024-10-28 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-08-30 | 2024-10-28 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-08-30 | 2024-10-28 | N |
| Post nurse staffing information every day. | Health | 2024-08-30 | 2024-10-28 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2024-08-30 | 2024-10-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-30 | 2024-10-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-08-30 | 2024-10-28 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2024-08-30 | 2024-10-28 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-08-30 | 2024-10-28 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-08-30 | 2024-10-28 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-08-30 | 2024-10-28 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-08-30 | 2024-10-28 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-08-30 | 2024-10-28 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-08-30 | 2024-10-28 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-08-30 | 2024-10-28 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-08-30 | 2024-10-28 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-08-30 | 2024-10-28 | N |
| Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. | Health | 2024-08-30 | 2024-10-28 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-08-30 | 2024-10-28 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-08-01 | 2024-08-31 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-10-03 | 2024-02-02 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-10-03 | 2024-02-02 | Y |
| Meet other general requirements. | Fire Safety | 2023-05-19 | 2023-09-20 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2023-05-19 | 2023-09-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-19 | 2023-09-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-19 | 2023-06-26 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-05-19 | 2023-06-26 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-19 | 2023-06-23 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-05-19 | 2023-06-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-05-19 | 2023-06-23 | N |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2023-05-19 | 2023-06-23 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-05-19 | 2023-06-23 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2026-03-26 | Not Fixed | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2026-03-26 | Not Fixed | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2026-03-26 | Not Fixed | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2026-03-26 | Not Fixed | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2026-03-26 | Not Fixed | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2026-03-26 | Not Fixed | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2026-03-26 | Not Fixed | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2026-03-26 | Not Fixed | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-03-26 | Not Fixed | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2026-03-26 | Not Fixed | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2026-03-26 | Not Fixed | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2026-03-26 | Not Fixed | N |
| Provide properly protected cooking facilities. | Fire Safety | 2026-03-26 | Not Fixed | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2026-03-26 | Not Fixed | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2026-03-26 | Not Fixed | N |